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MR imaging of silicone gel–filled breast implants in vivo with a method that visualizes silicone selectively

✍ Scribed by Srinivasan Mukundan Jr; W. Dixon Thomas; Beth D. Kruse; Debra L. Monticciolo; Rendon C. Nelson


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
560 KB
Volume
3
Category
Article
ISSN
1053-1807

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✦ Synopsis


Abstract

The lack of an adequately sensitive method for detecting silicone leakage and reported serious complications due to silicone leakage were cited as justification by the U.S. Food and Drug Administration for imposing the current restrictions on silicone gel–filled breast prostheses. The authors report a new magnetic resonance imaging method for visualizing silicone leakage: the silicone‐only sequence (SOS). The method uses the conventional STIR (short‐inversion‐time inversion‐recovery) technique combined with a 1331 radio‐frequency pulse train widely used for water suppression in spectroscopy. With the SOS, silicone can be imaged while signals from fat and water are suppressed. The authors used the SOS to image phantoms and normal and ruptured silicone gel–filled breast prostheses.